Compare with other Nursing Homes USA
Compare
Compare
| MILLCREEK HEALTH CENTER | VS | All other Nursing Homes USA |
| Staff Information | |||||
|---|---|---|---|---|---|
| Number of Residents |
54 (37.38 lower than average)
|
vs |
91.38
|
||
| Number of RN Hours Per Resident Per Day |
0.84 (0.07 higher than average)
|
vs |
0.77
|
||
| Number of LPN/LVN Hours Per Resident Per Day |
0.1 (0.74 lower than average)
|
vs |
0.84
|
||
| Total Number of Licensed Staff Hours Per Resident Per Day |
0.94 (0.65 lower than average)
|
vs |
1.59
|
||
| Number of CNA Hours Per Resident Per Day |
0.01 (5.48 lower than average)
|
vs |
5.49
|
||
| Number Therapy Hours Per Resident Per Day |
0.01 (0.09 lower than average)
|
vs |
0.10
|
||
| Environmental Deficiencies | |||||
|---|---|---|---|---|---|
| Deficiency #1 |
Scope: Few level Of Harm: 2 deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents. survey Date: 07/20/2010 date Of Correction: 09/17/2010 |
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| Deficiency #2 |
Scope: Few level Of Harm: 2 deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents. survey Date: 06/17/2009 date Of Correction: 07/30/2009 |
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| Mistreatment Deficiencies | |||||
|---|---|---|---|---|---|
| Deficiency #1 |
Scope: Many level Of Harm: 2 deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property. survey Date: 07/20/2010 date Of Correction: 09/17/2010 |
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| Deficiency #2 |
Scope: Many level Of Harm: 2 deficiency: 1) Hire Only People With No Legal History Of Abusing, Neglecting Or Mistreating Residents; Or 2) Report And Investigate Any Acts Or Reports Of Abuse, Neglect Or Mistreatment Of Residents. survey Date: 07/20/2010 date Of Correction: 08/20/2010 |
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| Deficiency #3 |
Scope: Few level Of Harm: 3 deficiency: Protect Each Resident From All Abuse, Physical Punishment, And Being Separated From Others. survey Date: 07/20/2010 date Of Correction: 08/20/2010 |
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| Deficiency #4 |
Scope: Few level Of Harm: 2 deficiency: 1) Hire Only People With No Legal History Of Abusing, Neglecting Or Mistreating Residents; Or 2) Report And Investigate Any Acts Or Reports Of Abuse, Neglect Or Mistreatment Of Residents. survey Date: 06/22/2010 date Of Correction: 07/30/2010 |
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| Deficiency #5 |
Scope: Some level Of Harm: 2 deficiency: Keep Each Resident Free From Physical Restraints, Unless Needed For Medical Treatment. survey Date: 02/11/2010 date Of Correction: 04/01/2010 |
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| Resident Rights Deficiencies | |||||
|---|---|---|---|---|---|
| Deficiency #1 |
Scope: Few level Of Harm: 3 deficiency: Reasonably Accommodate The Needs And Preferences Of Each Resident. survey Date: 07/20/2010 date Of Correction: 09/17/2010 |
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| Deficiency #2 |
Scope: Few level Of Harm: 2 deficiency: Immediately Tell The Resident, The Resident's Doctor And A Family Member Of The Resident Of Situations (injury/decline/room, Etc.) That Affect The Resident. survey Date: 06/22/2010 date Of Correction: 07/30/2010 |
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| Deficiency #3 |
Scope: Few level Of Harm: 2 deficiency: Provide Care For Residents In A Way That Keeps Or Builds Each Resident's Dignity And Respect Of Individuality. survey Date: 02/11/2010 date Of Correction: 04/01/2010 |
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| Quality Care Deficiencies | |||||
|---|---|---|---|---|---|
| Deficiency #1 |
Scope: Some level Of Harm: 3 deficiency: Make Sure That Each Resident Gets A Nutritional And Well Balanced Diet, Unless It Is Not Possible To Do So. survey Date: 07/20/2010 date Of Correction: 09/17/2010 |
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| Deficiency #2 |
Scope: Few level Of Harm: 3 deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores. survey Date: 07/20/2010 date Of Correction: 09/17/2010 |
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| Deficiency #3 |
Scope: Few level Of Harm: 3 deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident . survey Date: 07/20/2010 date Of Correction: 09/17/2010 |
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| Deficiency #4 |
Scope: Few level Of Harm: 2 deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality. survey Date: 06/17/2009 date Of Correction: 07/30/2009 |
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| Resident Assessment Deficiencies | |||||
|---|---|---|---|---|---|
| Deficiency #1 |
Scope: Few level Of Harm: 2 deficiency: Develop A Complete Care Plan That Meets All Of A Resident's Needs, With Timetables And Actions That Can Be Measured. survey Date: 06/17/2009 date Of Correction: 07/30/2009 |
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| Administration Deficiencies | |||||
|---|---|---|---|---|---|
| Deficiency #1 |
Scope: Some level Of Harm: 3 deficiency: Set Up An Ongoing Quality Assessment And Assurance Group To Review Quality Deficiencies Quarterly, And Develop Corrective Plans Of Action. survey Date: 07/20/2010 date Of Correction: 09/17/2010 |
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| Deficiency #2 |
Scope: Some level Of Harm: 3 deficiency: Be Administered In An Acceptable Way That Maintains The Well-being Of Each Resident . survey Date: 07/20/2010 date Of Correction: 09/17/2010 |
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| Pharmacy Service Deficiencies | |||||
|---|---|---|---|---|---|
| Deficiency #1 |
Scope: Few level Of Harm: 3 deficiency: Make Sure That Residents Are Safe From Serious Medication Errors. survey Date: 06/22/2010 date Of Correction: 07/30/2010 |
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| Electrical Deficiencies | |||||
|---|---|---|---|---|---|
| Deficiency #1 |
Scope: Some level Of Harm: 2 deficiency: Properly Installed Electrical Wiring And Equipment. survey Date: 10/15/2009 date Of Correction: 12/07/2009 |
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| Building Service Equipment Deficiencies | |||||
|---|---|---|---|---|---|
| Deficiency #1 |
Scope: Some level Of Harm: 2 deficiency: Restrictions On The Use Of Portable Space Heaters. survey Date: 10/15/2009 date Of Correction: 12/07/2009 |
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| Quality Measures Q1 | |||||
|---|---|---|---|---|---|
| Percent of long-stay residents who self-report moderate to severe pain |
29 % (12.34 % higher than average)
|
vs |
16.66 %
|
||
| Percent of long-stay residents who lose too much weight |
9.3 % (2.53 % lower than average)
|
vs |
11.83 %
|
||
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
4.5 % (11.13 % lower than average)
|
vs |
15.63 %
|
||
| Percent of long-stay residents with a urinary tract infection |
3.7 % (9.76 % lower than average)
|
vs |
13.46 %
|
||
| Percent of long-stay residents who have depressive symptoms |
16.7 % (11.68 % lower than average)
|
vs |
28.38 %
|
||
| Percent of long-stay residents who were physically restrained |
1.9 % (41.78 % lower than average)
|
vs |
43.68 %
|
||
| Percent of long-stay residents experiencing one or more falls with major injury | 5.6:1 % | ||||
| Quality Measures Q3 | |||||
|---|---|---|---|---|---|
| Percent of long-stay residents who received an antipsychotic medication |
67.9 % (42.51 % higher than average)
|
vs |
25.39 %
|
||
| Percent of long-stay residents who self-report moderate to severe pain |
33.4 % (19.3 % higher than average)
|
vs |
14.10 %
|
||
| Percent of long-stay high-risk residents with pressure ulcers |
1.50 % (7.72 % lower than average)
|
vs |
9.22 %
|
||
| Percent of long-stay residents who lose too much weight | 11.8:1 % | ||||
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
18.5 % (24.88 % lower than average)
|
vs |
43.38 %
|
||
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
3.3 % (7.35 % lower than average)
|
vs |
10.65 %
|
||
| Percent of long-stay residents with a urinary tract infection |
4.6 % (4.98 % lower than average)
|
vs |
9.58 %
|
||
| Percent of long-stay residents who have depressive symptoms |
15.4 % (4.46 % lower than average)
|
vs |
19.86 %
|
||
| Percent of long-stay residents who were physically restrained |
3.2 % (35.33 % lower than average)
|
vs |
38.53 %
|
||
| Percent of long-stay residents experiencing one or more falls with major injury |
5.8 % (4.93 % lower than average)
|
vs |
10.73 %
|
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